Staywell Pediatric Llc
Pediatric Adolescent Medicine
Staywell Pediatric Llc is a West Haven, Connecticut based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
365 Elm St, West Haven, Connecticut - 06516-4217. They can be contacted on phone at
203-932-3227.
NPI number (Unique professional ID) for Staywell Pediatric Llc is
1841498839 which was assigned by NPPES on 11 Jul, 2007 and it was last updated on 11 Jul, 2007.
Staywell Pediatric Llc license number is
01775 for Pediatrics Adolescent Medicine (2080A0000X) in Connecticut.
Staywell Pediatric Llc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Staywell Pediatric Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Staywell Pediatric Llc |
|---|
Business Address:
Staywell Pediatric Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 365 Elm St
West Haven, CT, 06516-4217
United States |
|---|
| Phone Number : | 203-932-3227 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841498839 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 11 Jul, 2007 |
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| Last Updated On : | 11 Jul, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Thomas Etkin |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 203-932-3227 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Staywell Pediatric Llc are as mentioned. Primary taxonomy code for Staywell Pediatric Llc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 01775 | CT |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 365 Elm St
West Haven, CT, 06516-4217
United States |
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| Phone Number : | 203-932-3227 |
|---|
Business Location:
Patients can refer following map for directions to
Staywell Pediatric Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.